Provider Demographics
NPI:1265226351
Name:LEFF, KELSEY ELIZABETH (RPH, PHARMD, BSPS)
Entity type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:ELIZABETH
Last Name:LEFF
Suffix:
Gender:F
Credentials:RPH, PHARMD, BSPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24204 W PRAIRIE GROVE DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-6163
Mailing Address - Country:US
Mailing Address - Phone:815-666-4127
Mailing Address - Fax:
Practice Address - Street 1:2401 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6499
Practice Address - Country:US
Practice Address - Phone:815-727-4722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051305848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist